Individual
MRS. CARRIE JEAN WATTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
505 MEADOWVIEW PL, TRENTON, OH 45067-9004
(513) 464-6605
Mailing address
505 MEADOWVIEW PL, TRENTON, OH 45067-9004
(513) 464-6605
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN126434
OH
Other
Enumeration date
06/09/2008
Last updated
06/09/2008
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